Richard David Daigle, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4837 Issued in ME

Practice address

226 W Main St
Fort Kent, ME 04743

Phone

(615) 821-6770

NPI assigned

Mar 19, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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• Sports Physical Therapy of New York, P.C.

  • Physical Therapist
  • Manlius, NY
  • NPI 1912950072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1073637633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 W MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431119",
            "telephone_number": "615-821-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 W MAIN ST",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "04743",
            "telephone_number": "615-821-6770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 State Rt 17",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "074502010",
            "country_code": "US",
            "telephone_number": "201-445-8600",
            "fax_number": "201-445-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "RICHARD",
        "middle_name": "DAVID",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT4837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crosswinds Residential Care Inc
• Timothy L Cyr, OT
• Andrea Daigle, LMSW-CC
• Jennifer Karyl Daigle, AGNP-C
• Lucien JB Daigle, DMD
• Daniel D Chasse,DC. PA
• Meagan Ann Dechaine, PT, DPT
• Shelly Deprey, CLC, RN
• Renee Deschaine, LCSW
• Jennifer L. Desjardins, MHRT-C

• Physical Therapist in Fort Kent, ME
• Providers in Fort Kent, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.